Giant fibrovascular polyp of the esophagus: CT and MR findings

Whitman, Gary J.; Borkowski, Gregory P.

doi:10.2214/ajr.152.3.518

Cited by 44 publications

(32 citation statements)

References 5 publications

(2 reference statements)

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“…FVPs usually originate from underneath the upper esophageal sphincter. It has been proposed that the esophageal epithelium in this area, Laimer's triangle, is very mobile, and through repeated swallowing, a traction force is applied, resulting in progressive enlargement of the polyp [9,10]. In the present case, 2 fibrovascular polyps were identified in the hypopharynx measuring 11.8 and 3 cm.…”

Section: Discussionmentioning

confidence: 53%

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Multiple Synchronous Fibrovascular Polyps of the Hypopharynx

Nuyens¹,

Bhatti²,

Flint³

2004

ORL

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Purpose of the Study: To evaluate the clinical, radiological presentation and surgical management of fibrovascular polyps of the hypopharynx. Methods: Retrospective medical analysis of a case report. We report the case of a 66-year-old man, who presented with an incarcerated left inguinal hernia, vomiting and regurgitation of a large mass into the oral cavity resulting in syncope. MRI and cine-esophagram demonstrated a large mass in the cervical esophagus. At the time of herniorrhaphy, endoscopy revealed an 11.8-cm hypopharyngeal mass that completely obstructed the oropharynx. Results: The airway was secured by tracheostomy and the lesion was subsequently removed via open pharyngotomy. Postoperatively, a second polyp was found ball-valving into the airway, and an endoscopic resection was performed prior to decannulation. Histopathology of both lesions confirmed the diagnosis of a fibrovascular polyp. Conclusion: Fibrovascular polyps are rare benign intraluminal esophageal lesions resulting in mild symptoms of dysphagia that may also cause significant morbidity such as syncope and asphyxia. This is the first report of synchronous fibrovascular polyps of the hypopharynx.

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Section: Discussionmentioning

confidence: 53%

“…The finding of an intraluminal lesion with predominant adipose tissue is consistent with the diagnosis of a fibrovascular polyp. Identifying the base of origin of the lesion is more difficult [10,12]. For this reason, an endoscopy should be performed in every case to localize the base and to determine if endoscopic resection is feasible.…”

Section: Discussionmentioning

confidence: 99%

Multiple Synchronous Fibrovascular Polyps of the Hypopharynx

Nuyens¹,

Bhatti²,

Flint³

2004

ORL

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show abstract

“…However, polyps with long stalks can regurgitate into the pharynx or mouth, as in our case, and can cause death from asphyxiation if the larynx is occluded [1,2,5,7]. Therefore, although malignant degeneration is extremely rare [3,7], when the diagnosis of FVP has been made, removal is usually recommended.…”

Section: Discussionmentioning

confidence: 80%

“…Both CT and MRI are rapid, noninvasive means of evaluating masses in chest and neck. MRI, by means of multiple planes of section and excellent soft tissue contrast, may be especially helpful in defining the spatial location of the mass in addition to the tissue composition [1,2]. Fat in addition to bleeding and high-protein liquids are characterized by highintensity signal on T1-weighted images.…”

Section: Discussionmentioning

confidence: 99%

“…Giant fibrovascular polyp (FVP) of the esophagus is a rare intraluminal benign tumor covered with normal mucosa and it contains different degrees of fibrous, vascular, and adipose tissue [1,2]. We report a case of a giant FVP with predominant adipose contents in which computed tomography (CT) and magnetic resonance imaging (MRI) were employed for the presurgical planning.…”

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confidence: 99%

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